<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2393-6797</journal-id>
<journal-title><![CDATA[Revista Uruguaya de Medicina Interna ]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Urug. Med. Int.]]></abbrev-journal-title>
<issn>2393-6797</issn>
<publisher>
<publisher-name><![CDATA[Sociedad de Medicina Interna del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2393-67972019000300043</article-id>
<article-id pub-id-type="doi">10.26445/04.03.5</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Paracoccidioidomicosis: reporte de un caso clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Paracoccidioidomycosis: a case report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Paracoccidioidomicose: relato de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ureta Fernández]]></surname>
<given-names><![CDATA[Laura Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ordoñez]]></surname>
<given-names><![CDATA[Jeanine]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lequini Pechi]]></surname>
<given-names><![CDATA[Nahiara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acuña Zuñiga]]></surname>
<given-names><![CDATA[Ana Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Perendones Paseyro]]></surname>
<given-names><![CDATA[Mercedes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Clínica Médica &#8220;2&#8221;]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>01</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>01</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>4</volume>
<numero>3</numero>
<fpage>43</fpage>
<lpage>51</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S2393-67972019000300043&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S2393-67972019000300043&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S2393-67972019000300043&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La paracoccidioidomicosis es una micosis profunda sistémica, endémica en algunos países de Latinoamérica, sin embargo en Uruguay es poco frecuente y está estrechamente vinculada a la ocupación del paciente. Se describe el caso clínico de un hombre de 26 años, monteador, inmunocompetente, que se presentó clínicamente con linfadenopatías, lesiones cutáneo mucosas y sintomatología respiratoria de evolución subaguda; como hallazgos radiológicos presentó infiltrados perihiliares bilaterales e imagen en halo invertido. Desde el punto de vista micológico se evidenció la presencia del microorganismo en diversas muestras biológicas: biopsias de lesiones orofaríngeas y estudio micológico de lesiones de piel, con serología positiva para Paracoccidioides brasiliensis. Se realizó tratamiento dirigido con antimicótico intravenoso presentando buena respuesta al mismo con mejoría clínica. El abordaje del paciente fue realizado por un equipo multidisciplinario conformado por Otorrinolaringología, Parasitología y Micología, Anatomía patológica, Infectología, Salud Ocupacional y Medicina Interna.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Paracoccidioidomycosis is a deep systemic mycosis, endemic in some Latin American countries, however in Uruguay it is rare and is closely linked to patient occupation. The clinical case of a 26-year-old man, immunocompetent, who presented clinically with lymphadenopathy, mucous skin lesions and respiratory symptoms of subacute evolution is described; As radiological findings, it presented bilateral perihilar infiltrates and inverted halo image. From the mycological point of view, the presence of the microorganism in several biological samples was evidenced: biopsies of oropharyngeal lesions and mycological study of skin lesions, with positive serology for Paracoccidioides brasiliensis. Targeted treatment with intravenous antifungal was performed presenting good response to it with clinical improvement. The patient was approached by a multidisciplinary team made up of Otolaryngology, Parasitology and Mycology, Pathology, Infectology, Occupational Health and Internal Medicine.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A paracoccidioidomicose é uma micose sistêmica profunda, endêmica em alguns países da América Latina, porém no Uruguai é rara e está intimamente ligada à ocupação do paciente. É descrito o caso clínico de um homem de 26 anos, imunocompetente, que apresentou clinicamente linfadenopatia, lesões de mucosa da pele e sintomas respiratórios de evolução subaguda; Como achados radiológicos, apresentou infiltrados peri-hilares bilaterais e imagem invertida do halo. Do ponto de vista micológico, foi evidenciada a presença do microrganismo em várias amostras biológicas: biópsias de lesões orofaríngeas e estudo micológico de lesões cutâneas, com sorologia positiva para Paracoccidioides brasiliensis. O tratamento direcionado com antifúngico intravenoso foi realizado, apresentando boa resposta a ele com melhora clínica. O paciente foi abordado por uma equipe multidisciplinar composta por Otorrinolaringologia, Parasitologia e Micologia, Patologia, Infectologia, Saúde do Trabalhador e Medicina Interna.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[paracoccidioidomicosis]]></kwd>
<kwd lng="es"><![CDATA[granuloma]]></kwd>
<kwd lng="es"><![CDATA[Uruguay]]></kwd>
<kwd lng="en"><![CDATA[paracoccidioidomycosis]]></kwd>
<kwd lng="en"><![CDATA[granuloma]]></kwd>
<kwd lng="en"><![CDATA[Uruguay.]]></kwd>
<kwd lng="pt"><![CDATA[paracoccidioidomicose]]></kwd>
<kwd lng="pt"><![CDATA[granuloma]]></kwd>
<kwd lng="pt"><![CDATA[Uruguai]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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